Regulatory Control within Medical Organizations

Transcript

1. B Y : E L N A R A M I K H A I L O V A , S R E E N A T H V A R M A , A N D D A V I D Z A K A Y 0 5 / 1 2 / 1 3 REGULATORY CONTROL WITHIN MEDICAL ORGANIZATIONS
2. THESIS Medical organizations use the bureaucratic and cooperative systems in order to regulate their participants and maintain efficacy and stability. Organizations that provide more urgent care tend to have stricter adherence to these systems.
3. ORGANIZATIONAL THEORIES Weber's Bureaucracy - Fixed division of labor - Organizational hierarchy - Stable rules - Career oriented employment Cooperative Systems - Rely on willingness of participants - Members are given incentive - Members share common purpose. - There should be a moral basis for cooperation, not just material.
4. METHOD OF RESEARCH Emergency Room - picked for highly structured environment Pediatrician - picked for contrast of small, private medical organization Pharmacy - picked for contrast of medicine vs. retail
5. Emergency Room Pediatrician Pharmacy Fixed division of labor Strong Medium Weak Hierarchy Strong Strong Strong Stable Rules Strong Medium Medium Career oriented employment Strong Medium Weak Bureaucracy and Medical Organizations
6. Emergency Room Pediatrician Pharmacy Rely on participant willingness Strong Strong Medium Members are driven by common purpose Strong Medium Weak Participants offered variety of incentives Medium Weak Medium Moral basis for cooperation, not just material Strong Strong Weak Cooperative Systems in Medical Organizations
7. less bureaucratic more bureaucratic less urgent more urgent Adherence to Bureaucracy vs. Urgency
8. less cooperative more cooperative less urgent more urgent Adherence to Cooperative System vs. Urgency
9. IMPLICATIONS FOR THE FUTURE - Survival (without these organizations... DEATH) - The bureaucratic and cooperative systems help medical organizations survive and function. The higher the stakes, the more the organizations need to adhere to the systems.